| NPI | 1881939874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL JACOBY Owner 480-994-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: AZ 1058929) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2013-04-12 |